| NPI | 1093791071 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: SC 21708) |
| Additional Taxonomies | 174400000X Specialist |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: SC 21708) | |
| Enumeration Date | 2005-12-21 |
| Last Update Date | 2023-01-16 |