| NPI | 1952519670 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: GA 071484) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL ME120935) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: LA 201390) | |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2021-06-24 |