| NPI | 1912985052 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: GA 047878) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 30137) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA 047878) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KS 30137) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: KS 30137) | |
| Enumeration Date | 2006-01-09 |
| Last Update Date | 2021-02-25 |