| NPI | 1720433683 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OR MD219269) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: AZ 69957) |
| Enumeration Date | 2016-04-28 |
| Last Update Date | 2024-06-22 |