| NPI | 1205126851 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: GA 82555) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 6745320) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036.135578) | |
| Enumeration Date | 2011-04-17 |
| Last Update Date | 2022-07-21 |