| 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 | 2025-06-12 |