| NPI | 1922266394 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: WI 54629-020) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 54629-020) |
| Enumeration Date | 2008-06-01 |
| Last Update Date | 2025-06-30 |