| NPI | 1306286463 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MN 66649) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036139980) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036139980) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CT 62694) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: WI 73738) | |
| Enumeration Date | 2013-07-02 |
| Last Update Date | 2022-03-17 |