| NPI | 1295091767 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CA C198489) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: VA 0101261312) |
| Enumeration Date | 2012-04-09 |
| Last Update Date | 2025-08-03 |