| NPI | 1225253800 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: AZ 48310) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AZ 48310) |
| 207R00000X Internal Medicine (Licence: NC 2009-00416) | |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2023-02-27 |