| NPI | 1710010343 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NC 2023-01561) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: UT 10213621-1205) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2023-09-21 |