| NPI | 1619948577 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CA A103271) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101235138) |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2022-10-17 |