| NPI | 1619167855 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NV 15334) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: LA MD.203270) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NV 15334) | |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2025-01-14 |