| NPI | 1245217603 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TN 60191) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036094634) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TN 60191) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: IL 036094634) | |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2020-06-18 |