| NPI | 1841299112 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: KS 04-24475) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KS 04-24475) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MO MD101958) | |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2023-07-25 |