| NPI | 1679550057 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NV 4297) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME88519) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL ME88519) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NV 4297) | |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2014-05-09 |