| NPI | 1720077324 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: GA 033328) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CT 033328) |
| Enumeration Date | 2005-10-17 |
| Last Update Date | 2022-08-30 |