| NPI | 1053675157 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MO 2022010834) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: AL MD.38128) |
| Enumeration Date | 2012-07-03 |
| Last Update Date | 2022-07-18 |