| NPI | 1497749972 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: KS 04-19855) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: MO R3D24) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: KS 04-19855) | |
| Enumeration Date | 2005-09-09 |
| Last Update Date | 2022-02-09 |