| NPI | 1861788382 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: WI 69085) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 054196) |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2022-11-17 |