| NPI | 1295985497 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KY 47838) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: WI 74096) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: KY 47838) | |
| Enumeration Date | 2008-09-24 |
| Last Update Date | 2024-07-23 |