| NPI | 1184999021 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TN 3767) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 3767) |
| 207R00000X Internal Medicine (Licence: OH 34011194) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TN 3767) | |
| Enumeration Date | 2012-03-10 |
| Last Update Date | 2022-01-31 |