| NPI | 1346251261 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: KS 04-30554) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MO 2005001163) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KS 04-30554) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MO 2005001163) | |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2018-12-11 |