| NPI | 1356788624 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: FL OS13577) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA 04762) |
| Enumeration Date | 2013-05-28 |
| Last Update Date | 2023-01-23 |