NPI | 1780002774 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NV CL0121) |
Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: AZ 008910) |
Enumeration Date | 2014-04-07 |
Last Update Date | 2025-10-02 |