| NPI | 1699729202 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KS 0422598) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MO R4J65) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MO R4J65) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: KS 0422598) | |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2024-09-11 |