| NPI | 1265699912 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: PA MD435107) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD435107) |
| 207R00000X Internal Medicine (Licence: MA 239918) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD435107) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 239918) | |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2023-08-07 |