| NPI | 1720441777 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MD D0098125) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD475642) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MD D0098125) | |
| Enumeration Date | 2016-03-29 |
| Last Update Date | 2023-07-25 |