| NPI | 1518316314 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OK 6579) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10057154) |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2024-05-14 |