| NPI | 1194046656 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TN 57386) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301096850) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MN 56887) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MN 106950) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MN 56887) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: WI 67347) | |
| Enumeration Date | 2010-06-18 |
| Last Update Date | 2022-03-31 |