| NPI | 1174506455 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: ID M-12671) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME44229) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KY 41676) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL ME44229) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MO 2016035277) | |
| Enumeration Date | 2005-11-21 |
| Last Update Date | 2020-09-10 |