| NPI | 1952562647 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: AZ 54261) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 236437) |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2021-05-06 |