| NPI | 1730188665 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: WI 18125-020) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: WI 18125-020) |
| 207R00000X Internal Medicine (Licence: WI 18125-020) | |
| Enumeration Date | 2005-07-21 |
| Last Update Date | 2013-06-26 |