| NPI | 1992190813 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL ME155552) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: KS 04-48629) |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2024-06-10 |