| NPI | 1356657977 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: MO 2017000105) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NM MD2018-0100) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: IL 036154289) | |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: MO 2017000105) | |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: NM MD2018-0100) | |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: IL 036154289) | |
| Enumeration Date | 2010-08-19 |
| Last Update Date | 2021-12-06 |