| NPI | 1215998083 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NC 2017-02494) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD033585E) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 2017-02494) | |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2024-03-12 |