| NPI | 1194934539 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 4301501453) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD449396) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: PA MD449396) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MI 4301501453) | |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2023-10-18 |