| NPI | 1043216393 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA OS007312E) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OH 34007859) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: PA OS007312E) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 34007859H) | |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2023-11-16 |