| NPI | 1891215596 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: KY 58161) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP04130) |
| Enumeration Date | 2017-06-23 |
| Last Update Date | 2024-08-13 |