| NPI | 1710979950 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NE 22075) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: KS 04-31780) |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2018-08-08 |