| NPI | 1346469657 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: AZ 53216) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35.088199) |
| 207R00000X Internal Medicine (Licence: KS 04-33535) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KS 04-33535) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: KS 04-33535) | |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2018-02-22 |