| NPI | 1003856568 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: AR E-13697) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301086781) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MI 4301086781) | |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2021-02-12 |