| NPI | 1063675551 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: KY 44648) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 44648) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KY 44648) | |
| Enumeration Date | 2008-07-06 |
| Last Update Date | 2021-05-13 |