| NPI | 1336169283 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: NV 3198) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: CA C40206) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NV 3198) | |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2018-08-22 |