| NPI | 1396150165 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: MO 2021016790) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301105011) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: TX BP10059060) | |
| Enumeration Date | 2014-06-30 |
| Last Update Date | 2021-06-03 |