| NPI | 1043346893 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: GA 70218) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2005-00555) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NC 2005-00555) | |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2023-09-01 |