| NPI | 1174620512 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: ID M11945) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME91308) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: GA 061212) | |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: FL ME91308) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2022-07-21 |