| NPI | 1578769055 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OK 25706) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OK 25706) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OK 25706) | |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2017-03-13 |