| NPI | 1457771321 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: AZ 62213) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10050682) |
| Enumeration Date | 2014-04-18 |
| Last Update Date | 2021-06-29 |