| NPI | 1043487960 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: PR 17388) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PR 17388) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: WI 60579-20) | |
| 207R00000X Internal Medicine (Licence: PR 17388) | |
| 208D00000X General Practice (Licence: PR 17388) | |
| Enumeration Date | 2008-05-09 |
| Last Update Date | 2023-05-31 |