| NPI | 1538164421 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: AR E-3259) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: LA 203943) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: KS 04-38772) | |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2023-03-07 |