| NPI | 1427012574 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MO R1K08) | 
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MO R1K08) | 
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: KS 04-22976) | |
| 207R00000X Internal Medicine (Licence: MO R1K08) | |
| Enumeration Date | 2006-04-14 | 
| Last Update Date | 2022-02-16 |