| NPI | 1740212034 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: PA MD058444L) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD058444L) |
| 207R00000X Internal Medicine (Licence: PA MD058444L) | |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2019-09-27 |