| NPI | 1306147301 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: GA 91640) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AR E9818) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA 91640) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: AR E9818) | |
| Enumeration Date | 2010-11-06 |
| Last Update Date | 2023-04-02 |