| NPI | 1619977121 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL ME71797) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: AL 19947) |
| Enumeration Date | 2005-07-26 |
| Last Update Date | 2024-03-19 |