| NPI | 1023274776 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: SC 1420) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: SC 1420) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036-114146) | |
| Enumeration Date | 2008-08-01 |
| Last Update Date | 2023-12-13 |