| NPI | 1679910350 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OK 41920) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2016-00352) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101261795) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 2016-00352) | |
| Enumeration Date | 2013-06-04 |
| Last Update Date | 2023-09-07 |