| NPI | 1861435406 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: GA 51365) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: PA MD428324) |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: PA MD428324) | |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2022-09-26 |