| NPI | 1346509700 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL 158050) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101257237) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AZ 0101257237) | |
| Enumeration Date | 2012-05-04 |
| Last Update Date | 2024-07-15 |