| NPI | 1124342159 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: LA MD.204685) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: RI MD20203) |
| Enumeration Date | 2010-03-19 |
| Last Update Date | 2024-10-08 |