| NPI | 1467834697 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CA A175821) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA L-262990) |
| Enumeration Date | 2015-06-24 |
| Last Update Date | 2022-07-05 |