| NPI | 1932316163 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NC 2024-00279) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2024-00279) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2024-07-17 |