| NPI | 1760459093 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NE 18677) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: IA MD-31835) |
| Enumeration Date | 2006-03-06 |
| Last Update Date | 2019-10-30 |