| NPI | 1861832073 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: LA 323807) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OK 30072) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036140191) | |
| Enumeration Date | 2013-07-02 |
| Last Update Date | 2023-02-13 |