| NPI | 1821064510 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: WI 14080) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MT 41293) |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2026-01-15 |