| NPI | 1427139476 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: PA MD474573) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: AR E-6335) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: KY TP736) | |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2021-07-13 |