| NPI | 1356728919 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: GA 99814) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME141103) |
| Enumeration Date | 2015-05-04 |
| Last Update Date | 2024-05-17 |