| NPI | 1093986614 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: KY 03108) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036-112052) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KY 03108) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: GA 064127) | |
| Enumeration Date | 2008-03-23 |
| Last Update Date | 2022-12-08 |