| NPI | 1053653279 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: IL 036.151983) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: MI 4301109233) |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: IL 036.151983) | |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2024-04-29 |