| NPI | 1558444216 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: NC 2020-00954) |
| Additional Taxonomies | 207RI0011X Internal Medicine Interventional Cardiology (Licence: MT MED-PHYS-LIC-10527) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2020-04-02 |