| NPI | 1356353379 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NC 33629) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: SC 14610) |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2021-11-16 |