| NPI | 1609254465 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OK 31538) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OK 31538) |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: OK 31538) | |
| Enumeration Date | 2015-05-13 |
| Last Update Date | 2022-08-22 |