| NPI | 1285945295 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX V1515) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MO 2020025851) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: KS 0439466) | |
| Enumeration Date | 2010-06-24 |
| Last Update Date | 2024-06-19 |