| NPI | 1073573226 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101255806) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: SD 51356) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: LA 204537) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: VA 0101255806) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TN 51356) | |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2022-01-27 |