| NPI | 1518956804 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: NV 12355) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: TX J0232) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NV 12355) | |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: TX J0232) | |
| Enumeration Date | 2005-10-19 |
| Last Update Date | 2021-05-12 |