| NPI | 1790750453 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: VA 0101273689) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: PA MD0527641) |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2024-07-09 |