| NPI | 1619396017 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CA A139606) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A139606) |
| Enumeration Date | 2014-04-14 |
| Last Update Date | 2022-07-14 |