| NPI | 1114287117 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: VA 0101270728) |
| Additional Taxonomies | 207RI0011X Internal Medicine Interventional Cardiology (Licence: NC 2012-00609) |
| Enumeration Date | 2012-05-23 |
| Last Update Date | 2021-03-19 |