| NPI | 1508203761 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: KS 04-47777) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 2016-00416) |
| 207R00000X Internal Medicine (Licence: MA L-255286) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MO 2023018897) | |
| Enumeration Date | 2013-05-29 |
| Last Update Date | 2024-07-01 |