| NPI | 1063770048 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CO DR.0062749) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: AL 44191) |
| Enumeration Date | 2012-04-27 |
| Last Update Date | 2023-06-30 |