| NPI | 1093077687 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MO 2019016542) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10043109) |
| Enumeration Date | 2012-06-11 |
| Last Update Date | 2022-10-28 |