| NPI | 1356546881 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CO 0065583) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 120969) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 255913-1) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OH 120969) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL 122839) | |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2023-01-31 |