| NPI | 1851849848 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: PA MT226368) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP03791) |
| Enumeration Date | 2016-09-19 |
| Last Update Date | 2022-06-20 |