| NPI | 1518306281 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: WA MD61188339) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 54681) |
| Enumeration Date | 2013-06-17 |
| Last Update Date | 2021-09-17 |