| NPI | 1952751042 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OK 40019) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OK 40019) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A160914) | |
| Enumeration Date | 2016-06-20 |
| Last Update Date | 2023-06-26 |