| NPI | 1154588242 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: WA MD61116878) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125051712) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WA MD61116878) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX Q0330) | |
| Enumeration Date | 2008-05-17 |
| Last Update Date | 2021-04-15 |