| NPI | 1164400768 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: MO 20080015782) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NY 194765) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: MO 2008015782) | |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: KS 0433150) | |
| 207R00000X Internal Medicine (Licence: MO 2008015782) | |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2022-02-16 |