| NPI | 1205241502 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NE 32426) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD P30087) |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2023-06-11 |