| NPI | 1497884647 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: MD D57781) |
| Additional Taxonomies | 207RI0011X Internal Medicine Interventional Cardiology (Licence: TN 61727) |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: KY 59260) | |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2024-07-10 |