| NPI | 1043447873 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OR MD181462) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OR MD181462) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 126853) | |
| 207R00000X Internal Medicine (Licence: MA L-240991) | |
| Enumeration Date | 2009-06-19 |
| Last Update Date | 2021-02-15 |