| NPI | 1891774568 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NV 7896) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: NV 7896) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NV 7896) | |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2018-06-22 |