| NPI | 1760640684 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: DE C1-0010962) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 233143) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: DE C1-0010962) | |
| 207R00000X Internal Medicine (Licence: DE C1-0010962) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD441912) | |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2016-11-08 |