| NPI | 1033478227 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: KY 56459) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2015-01647) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IA MD-45141) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OK 37818) | |
| Enumeration Date | 2012-05-09 |
| Last Update Date | 2022-08-05 |