| NPI | 1265722102 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CA A136888) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 268278) |
| 207R00000X Internal Medicine (Licence: CA 136888) | |
| Enumeration Date | 2011-04-12 |
| Last Update Date | 2023-02-23 |