| NPI | 1518145960 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: VA 0101262529) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 00000000) |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: LA 301848) | |
| Enumeration Date | 2008-02-07 |
| Last Update Date | 2024-06-18 |