| NPI | 1053349860 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MT MED-PHYS-LIC-66555) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OR MD24781) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MN 53673) | |
| 207R00000X Internal Medicine (Licence: OR MD24781) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MN 53673) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OR MD24781) | |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2024-02-19 |