| NPI | 1174598197 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: KY C0955) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WV 15597) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: WV 15597) | |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2023-10-10 |