| NPI | 1518039239 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MO 2014017700) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: KS 04-37371) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2026-05-22 |