| NPI | 1346653946 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: MA 282928) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD459164) |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: PA MD459164) | |
| Enumeration Date | 2014-06-11 |
| Last Update Date | 2021-09-20 |