| NPI | 1710077698 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MO 2012018819) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CA A47908) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: AR T2007-022) | |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2020-11-03 |