| NPI | 1164493367 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: AL 26063) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CA C196441) |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2024-11-06 |