| NPI | 1790914521 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: KS 04-41348) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 9407317) |
| Enumeration Date | 2009-07-14 |
| Last Update Date | 2024-09-09 |