| NPI | 1992024483 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CA A147165) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301 096 097) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A147165) | |
| Enumeration Date | 2010-05-23 |
| Last Update Date | 2021-10-27 |