| NPI | 1275822264 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: PA MD443177) | 
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: IN 01074100A) | 
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OK 37122) | |
| Enumeration Date | 2011-03-30 | 
| Last Update Date | 2022-08-10 |