| NPI | 1376777169 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NM MD2023-1666) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: PA MD450615) |
| Enumeration Date | 2009-05-07 |
| Last Update Date | 2024-06-11 |