| NPI | 1295796902 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL OS11546) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: PA OS010773L) |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2023-10-11 |