| NPI | 1922162114 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CA A102895) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OR MD25690) |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2019-08-26 |