| NPI | 1871544551 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: MI 4301080162) |
| Additional Taxonomies | 174400000X Specialist (Licence: NH 13067) |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2021-02-17 |