| NPI | 1255358743 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: WI 59941) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX M8591) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2025-03-06 |