| NPI | 1932338753 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MO 2016010623) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MN 66286) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CA 20A16133) | |
| Enumeration Date | 2009-07-14 |
| Last Update Date | 2020-03-19 |