| NPI | 1275632713 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL ME129859) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 30923) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AR R6236) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 67608) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: WI 67608) | |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2022-08-09 |