| NPI | 1881686350 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NV 3278) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NV 3278) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA G33786) | |
| Enumeration Date | 2005-08-19 |
| Last Update Date | 2018-03-21 |