| NPI | 1235524216 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: GA 79630) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 79630) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MA 279027) | |
| Enumeration Date | 2015-04-06 |
| Last Update Date | 2024-08-01 |