| NPI | 1275512550 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: VA 0101045302) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: WV 18128) |
| Enumeration Date | 2006-01-13 |
| Last Update Date | 2022-12-07 |