| NPI | 1225075526 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: NM 87-365) |
| Additional Taxonomies | 207RI0011X Internal Medicine Interventional Cardiology (Licence: CO 31635) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2023-11-27 |