| NPI | 1154389138 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MD D0057926) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101230081) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: DC MD33689) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: VA 0101230081) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MD D0057926) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: DC MD33689) | |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2022-07-21 |