| NPI | 1003256546 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CA 20A18301) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA R-9818) |
| Enumeration Date | 2013-06-28 |
| Last Update Date | 2022-09-27 |