| NPI | 1225091812 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: WI 70710) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA A48218) |
| 207R00000X Internal Medicine (Licence: UT 9596121-1205) | |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: KY 48201) | |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: OR MD184976) | |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: ID M-15992) | |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: MT 43360) | |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: TN 55914) | |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: PA MD184976) | |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: UT 9596121-1205) | |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2025-03-28 |