| NPI | 1184987372 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CA A175041) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NM MD2019-0529) |
| 207R00000X Internal Medicine (Licence: MD P27588) | |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2022-08-30 |