| NPI | 1245486547 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: AR E13848) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125054783) |
| 207R00000X Internal Medicine (Licence: IA 39540) | |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: IA MD-39540) | |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2022-04-26 |