| NPI | 1265656672 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: TN 47640) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA RTP000463) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2024-01-09 |