| NPI | 1730103763 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: PA OS006750L) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA OS006750L) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2021-09-30 |