| NPI | 1821086182 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA 149413) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CO 32056) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KS 04-35535) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: IL 036-145006) | |
| Enumeration Date | 2005-10-11 |
| Last Update Date | 2023-03-27 |