| NPI | 1851481568 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NE 22430) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 22430) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: IA MD-37822) | |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2019-07-05 |