| NPI | 1073706495 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CA A97044) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A97044) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: WI 61063) | |
| Enumeration Date | 2007-08-20 |
| Last Update Date | 2021-06-30 |