| NPI | 1063420065 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NV 6467) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NV 6467) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA G62821) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AZ 23417) | |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2023-10-10 |