| NPI | 1336593276 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: SC 89685) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0102205944) |
| Enumeration Date | 2016-04-18 |
| Last Update Date | 2023-07-07 |