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 |