| NPI | 1639273253 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NM MD2023-1626) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA G76312) |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2025-04-30 |