| NPI | 1396189205 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WV 31510) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 207RC0000X) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: WI 65261) | |
| Enumeration Date | 2013-04-22 |
| Last Update Date | 2025-02-25 |