| NPI | 1194258012 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: KY 56767) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 148112) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KY TP719) | |
| Enumeration Date | 2017-04-07 |
| Last Update Date | 2022-12-08 |