| NPI | 1043290398 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: OR MD15503) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD15503) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: OR MD15503) | |
| Enumeration Date | 2006-01-20 |
| Last Update Date | 2022-12-07 |