| NPI | 1790190189 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CO DR.0068598) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101021398) |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2022-08-25 |