| NPI | 1902806151 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: ME72928) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MT MED-PHYS-LIC-111885) |
| Enumeration Date | 2005-07-29 |
| Last Update Date | 2022-09-08 |