| NPI | 1003100223 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CT 62383) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 247595) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CT 62383) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 256118) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: RI 16163) | |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2019-07-03 |