| NPI | 1679871180 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: GA 91781) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101256488) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: VA 0101256488) | |
| Enumeration Date | 2011-03-08 |
| Last Update Date | 2022-08-25 |