| NPI | 1750733887 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: SD 15131) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.068408) |
| Enumeration Date | 2016-07-13 |
| Last Update Date | 2024-08-06 |