| NPI | 1134506934 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NV 22159) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301107062) |
| Enumeration Date | 2015-04-30 |
| Last Update Date | 2024-05-15 |