| NPI | 1669817375 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: SC 84184) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT203370) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: SC 84184) | |
| 207R00000X Internal Medicine (Licence: PA MD455560) | |
| Enumeration Date | 2013-05-08 |
| Last Update Date | 2023-05-17 |