| NPI | 1366720211 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CA A144651) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2011012584) |
| Enumeration Date | 2011-07-26 |
| Last Update Date | 2020-11-24 |