| NPI | 1376944348 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: AZ 70645) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 291807) |
| Enumeration Date | 2014-09-10 |
| Last Update Date | 2023-12-18 |