| NPI | 1922072693 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: PA MD068548L) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA MD068548L) |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2022-01-14 |