| NPI | 1215986807 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: WA MD61299124) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0101237240) |
| 207P00000X Emergency Medicine (Licence: IL 036142259) | |
| 207R00000X Internal Medicine (Licence: IL 036142259) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036142259) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 2477) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 2477-320) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101237240) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: ID MC-1386) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: WV 29785) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: IL 036.142259) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: WI 2477) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: KY 50655) | |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2025-07-07 |