| NPI | 1376549741 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: PA md040722l) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35082239) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA md040722l) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OH 35082239) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NY 286073) | |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2018-09-18 |