| NPI | 1174504658 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: SD 5802) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 44354) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: SD 5802) | |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2022-10-05 |