| NPI | 1063851129 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: GA 87892) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 36015) |
| Enumeration Date | 2013-06-21 |
| Last Update Date | 2023-03-21 |