| NPI | 1477864304 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MN 61727) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 66705-20) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: WI 66705-20) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MN 61727) | |
| Enumeration Date | 2010-06-25 |
| Last Update Date | 2023-11-21 |