| NPI | 1902344237 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CA 2022641) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MI 5101027465) |
| Enumeration Date | 2017-02-07 |
| Last Update Date | 2024-07-03 |