| NPI | 1306840210 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: KS 0432924) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OH 35077689) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NM 2004-0121) | |
| Enumeration Date | 2005-06-08 |
| Last Update Date | 2024-05-02 |