| NPI | 1396923793 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NC 2018-02197) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: PA MD446464) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 2018-02197) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD446464) | |
| Enumeration Date | 2008-02-07 |
| Last Update Date | 2023-04-14 |