| NPI | 1003109869 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: SC 37854) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD451312) |
| 207R00000X Internal Medicine (Licence: SC 37854) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: SC 37854) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: SC 37854) | |
| Enumeration Date | 2011-05-25 |
| Last Update Date | 2020-09-15 |