| NPI | 1821350539 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: FL OS14300) |
| Additional Taxonomies | 207RI0011X Internal Medicine Interventional Cardiology (Licence: MS 22790) |
| Enumeration Date | 2012-06-10 |
| Last Update Date | 2021-03-30 |