| NPI | 1063709400 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: ME MD23470) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NH 20365) |
| Enumeration Date | 2011-07-06 |
| Last Update Date | 2020-10-04 |