| NPI | 1366411159 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NC 2013-01545) |
| Additional Taxonomies | 174400000X Specialist (Licence: TN MD0000035122) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 2013-01545) | |
| Enumeration Date | 2006-03-15 |
| Last Update Date | 2023-03-07 |