| NPI | 1922007541 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TN 14970) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA 023469) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: GA 023469) | |
| Enumeration Date | 2005-07-15 |
| Last Update Date | 2022-03-17 |