| NPI | 1114905429 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: AL 22563) |
| Additional Taxonomies | 174400000X Specialist (Licence: AL 22563) |
| 174400000X Specialist (Licence: MS 16408) | |
| Enumeration Date | 2006-01-06 |
| Last Update Date | 2019-05-06 |