| NPI | 1205957198 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CO DR.0068784) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 50748) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: UT 8591754-1205) | |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2022-09-12 |