| NPI | 1760612014 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: OK 32873) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301094482) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: OK 32873) | |
| Enumeration Date | 2009-07-21 |
| Last Update Date | 2022-06-06 |