| NPI | 1073953154 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OR MD197284) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 256545) |
| Enumeration Date | 2013-07-03 |
| Last Update Date | 2024-06-17 |