| NPI | 1912900630 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: DE C1-0003268) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: DE C10003269) |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2017-01-27 |