| NPI | 1609163336 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: KS 04-37280) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301098615) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MO 2017028372) | |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2021-09-29 |