| NPI | 1285639179 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 36055998) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036055998) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: IL 036-055998) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MO 34889) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MO 34889) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 194072-1) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NY 194072-1) | |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2007-07-08 |