| NPI | 1003287079 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036165783) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA MD-51990) |
| 207R00000X Internal Medicine (Licence: WI 65904) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IA MD-51990) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036165783) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: IA MD-51990) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: IL 036165783) | |
| Enumeration Date | 2015-10-15 |
| Last Update Date | 2024-04-18 |