| NPI | 1720198195 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: OK 29149) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA ML20007971) |
| 207R00000X Internal Medicine (Licence: OK 29149) | |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: OK 29149) | |
| 207UN0901X Nuclear Medicine Nuclear Cardiology (Licence: OK 29149) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2022-06-06 |