| NPI | 1568635357 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: AK 144406) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX Q4632) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NM A-2091-17) | |
| Enumeration Date | 2008-04-11 |
| Last Update Date | 2019-09-03 |