| NPI | 1790126506 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OK 30070) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OK 30070) |
| Enumeration Date | 2013-07-09 |
| Last Update Date | 2023-12-11 |