| NPI | 1306368543 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: KY 58363) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OK 33039) |
| Enumeration Date | 2017-07-10 |
| Last Update Date | 2024-07-08 |