| NPI | 1992754360 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: KS 04-48292) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AR E-13511) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 240175) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL ME99096) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: AR E-13511) | |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2023-10-12 |