| NPI | 1336580133 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: LA 308832) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 308832) |
| 207R00000X Internal Medicine (Licence: IA MD-42972) | |
| Enumeration Date | 2013-07-10 |
| Last Update Date | 2022-07-01 |