| NPI | 1578842910 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OK 32904) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MO 2023047292) |
| Enumeration Date | 2011-08-16 |
| Last Update Date | 2024-03-28 |