| NPI | 1407049539 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TN MD53673) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD450468) |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2020-09-14 |