| NPI | 1497902084 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: GA 081487) | 
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: LA 305412) | 
| Enumeration Date | 2008-08-26 | 
| Last Update Date | 2022-08-01 |