| NPI | 1265896443 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: VA 0101266198) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101266198) |
| Enumeration Date | 2016-04-13 |
| Last Update Date | 2024-09-06 |