| NPI | 1023270410 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CT 72955) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD464357) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD464357) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: PA MD464357) | |
| Enumeration Date | 2008-06-27 |
| Last Update Date | 2023-01-11 |