| NPI | 1801863105 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: GA 70754) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TN MD29590) |
| Enumeration Date | 2006-03-06 |
| Last Update Date | 2025-01-22 |