| NPI | 1164495230 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL ME84603) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NH 15475) |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2021-03-12 |