| NPI | 1083635593 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: CA A43218) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA A43218) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: CA A43218) | |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2024-06-26 |