| NPI | 1124403456 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MN 74800) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: WI 82283) |
| Enumeration Date | 2015-07-28 |
| Last Update Date | 2023-09-28 |