| NPI | 1003104605 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX T4009) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125059036) |
| 207R00000X Internal Medicine (Licence: IL 036135787) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036.135787) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: IL 036.135787) | |
| Enumeration Date | 2011-07-16 |
| Last Update Date | 2022-08-30 |