| NPI | 1598965907 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: AZ 52334) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0116018141) |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2021-03-12 |