| NPI | 1003076746 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: VA 0101246582) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101246852) |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2020-07-13 |