| NPI | 1952334542 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: GU M-2082) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MA06221700) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: GU MTL-2017-072) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NJ 25MA06221700) | |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2021-12-07 |