| NPI | 1083905061 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: NC 2020-03525) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01074384A) |
| 207R00000X Internal Medicine (Licence: NC 2020-03525) | |
| Enumeration Date | 2011-04-26 |
| Last Update Date | 2020-10-26 |