| NPI | 1730246992 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: KS 04-31399) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: MO 2007010291) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: KS 04-31399) | |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: MO 2007010291) | |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2023-07-25 |