| NPI | 1063695948 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MT 49679) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: UT 6359029-1205) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: ND PT12921) | |
| Enumeration Date | 2007-12-13 |
| Last Update Date | 2023-11-27 |