| NPI | 1730543646 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: ID M-17862) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OR MD221543) |
| Enumeration Date | 2016-04-06 |
| Last Update Date | 2024-11-07 |