| NPI | 1104884311 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 32847) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: SD 4664) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NV 19546) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: SD 4664) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: WI 32847) | |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2021-09-07 |