| NPI | 1225478472 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: AR E-12936) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301103851) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL TRN22953) | |
| Enumeration Date | 2013-07-02 |
| Last Update Date | 2022-08-30 |