| NPI | 1619395282 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: VA 0101271937) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: WV 33373) |
| Enumeration Date | 2014-04-01 |
| Last Update Date | 2024-01-22 |