| NPI | 1962658021 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: KS 04-38021) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 04-38021) |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: KS 04-38021) | |
| 207UN0901X Nuclear Medicine Nuclear Cardiology (Licence: KS 04-38021) | |
| Enumeration Date | 2008-08-08 |
| Last Update Date | 2022-07-25 |