| NPI | 1124339973 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: VA 0101251656) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101251656) |
| Enumeration Date | 2010-06-27 |
| Last Update Date | 2024-04-15 |