| NPI | 1033370358 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: CA A116248) |
| Additional Taxonomies | 207RI0011X Internal Medicine Interventional Cardiology (Licence: MO 2016007040) |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2023-01-10 |