| NPI | 1790165736 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: MO 2022011658) |
| Additional Taxonomies | 207RI0011X Internal Medicine Interventional Cardiology (Licence: IL 036165976) |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2023-07-28 |