| NPI | 1205999463 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: MD D72298) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD435425) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2023-08-24 |