| NPI | 1801129796 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NM MD2009-0690) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NM PENDING) |
| Enumeration Date | 2009-09-10 |
| Last Update Date | 2020-04-23 |