| NPI | 1740463322 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A117008) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 44172) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CA AA117008) | |
| Enumeration Date | 2007-12-06 |
| Last Update Date | 2022-07-21 |