| NPI | 1619282365 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NC 2017-01125) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 245539) |
| Enumeration Date | 2010-08-18 |
| Last Update Date | 2022-07-21 |