| NPI | 1265729537 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: AR E11322) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AR E-11322) |
| 207R00000X Internal Medicine (Licence: IL 125060295) | |
| Enumeration Date | 2011-07-07 |
| Last Update Date | 2024-01-05 |