NPI | 1346770781 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OK 41229) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301112401) |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX BP10070346) | |
Enumeration Date | 2017-06-18 |
Last Update Date | 2023-05-08 |