| NPI | 1215017330 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TN MD11303) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TN MD11303) |
| 207R00000X Internal Medicine (Licence: TN MD11303) | |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2022-03-21 |