| NPI | 1952433690 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CA C175533) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KY 43443) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: KY 43443) | |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2022-06-22 |