| NPI | 1063495166 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA G149163) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036076526) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CA G149163) | |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2021-10-14 |