| NPI | 1255361986 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: SC 87721) |
| Additional Taxonomies | 174400000X Specialist (Licence: NM MD20050660) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: SC 87721) | |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: TN 46289) | |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2023-01-10 |