| NPI | 1669733879 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: DC MD042270) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC MD042270) |
| Enumeration Date | 2012-06-04 |
| Last Update Date | 2021-02-25 |