| NPI | 1770014201 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: CA 20A17100) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: CA 20A17100) |
| Enumeration Date | 2017-03-26 |
| Last Update Date | 2025-05-30 |