| NPI | 1326306523 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TN MD0000067593) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 38297) |
| Enumeration Date | 2012-04-25 |
| Last Update Date | 2023-08-08 |