| NPI | 1881879971 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: IA MD-41476) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD P21903) |
| 207R00000X Internal Medicine (Licence: IA MD-41478) | |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2024-04-17 |