| NPI | 1376693325 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CA A130341) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MO 2011015398) |
| 207R00000X Internal Medicine (Licence: FL ME96571) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MO 2011015398) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OR MD200256) | |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2024-07-08 |