| NPI | 1295775641 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: AZ 29665) |
| Additional Taxonomies | 207RI0011X Internal Medicine Interventional Cardiology (Licence: AZ 29665) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2023-03-07 |