| NPI | 1235343997 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL ME126840) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: ND PT16622) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2022-03-03 |