| NPI | 1891738118 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: GA 57240) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA 057240) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: KS 04-32029) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: GA 057240) | |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2012-08-31 |