| NPI | 1427045400 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: OK 17632) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: PA MD036428E) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: OK 17632) | |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: PA MD036428E) | |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2022-06-06 |