| NPI | 1225294168 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: MI 4301116187) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 243643) |
| 207R00000X Internal Medicine (Licence: OH 35.092375) | |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: OH 35.092375) | |
| Enumeration Date | 2008-07-30 |
| Last Update Date | 2024-04-12 |