| NPI | 1972503878 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NV 13913) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: ND 19002) |
| Enumeration Date | 2005-07-21 |
| Last Update Date | 2025-07-10 |