| NPI | 1336315712 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: RI MD16727) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: RI MD16727) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 280471) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MA 280471) | |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2021-12-30 |