| NPI | 1891775318 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: AZ 46535) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MN 45169) |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2020-09-10 |