| NPI | 1215393699 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: LA 302651) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 302651) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: LA 302651) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NJ 25MA11033200) | |
| Enumeration Date | 2016-01-14 |
| Last Update Date | 2021-05-07 |