| NPI | 1174580773 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: MO R3F28) |
| Additional Taxonomies | 207RI0011X Internal Medicine Interventional Cardiology (Licence: KS 04-22592) |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2020-09-21 |