| 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 |