| NPI | 1871576215 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: LA MD.016251) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA C050097) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MS 11156) | |
| Enumeration Date | 2005-11-21 |
| Last Update Date | 2023-08-10 |