| NPI | 1073049516 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 4301509574) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 53759) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MI 4301509574) | |
| Enumeration Date | 2017-05-03 |
| Last Update Date | 2024-06-25 |