| NPI | 1508820655 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MO R9N76) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO R9N76) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MO R9N76) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: KS 04-26196) | |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2022-02-16 |