| NPI | 1851653315 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: LA MD.206509) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA PGY.201682) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: MS 25296) | |
| Enumeration Date | 2012-06-11 |
| Last Update Date | 2020-08-24 |