| NPI | 1770508756 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TN 65924) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA 60036) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: GA 060036) | |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2022-09-12 |