| NPI | 1912991746 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: VA 0101039358) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101039358) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NC 37966) | |
| Enumeration Date | 2005-09-08 |
| Last Update Date | 2023-05-10 |