| NPI | 1306009071 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: PA MD468806) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: AR E-9099) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: KY 49835) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OH 35.129915) | |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2023-05-08 |