| NPI | 1639533359 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CA 198359) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NV 23362) |
| Enumeration Date | 2016-04-08 |
| Last Update Date | 2024-09-19 |