| NPI | 1124215173 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: KY TP573) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: LA MD.201087) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: LA MD.201087) | |
| Enumeration Date | 2007-10-03 |
| Last Update Date | 2025-01-21 |