| NPI | 1710098546 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TN 43665) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL 24890) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TN 43665) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2017-05-23 |