| NPI | 1417360967 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NE 33828) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125-064778) |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2022-05-17 |