| NPI | 1326089285 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MO 2019004531) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MO 2006011985) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KS 0433239) | |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2019-05-29 |