| NPI | 1376560276 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NV 25985) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NV 25985) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: HI 19586) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: HI 19586) | |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2025-05-27 |