| NPI | 1073722484 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: GA O66617) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NC 200700295) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2022-01-07 |