| NPI | 1740291517 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: OK 26970) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: OK 26970) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2018-04-13 |