| NPI | 1649470071 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: AZ 50640) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301084825) |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2022-06-29 |