| NPI | 1417131772 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MO 2018009386) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: LA 322401) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: LA 322401) | |
| Enumeration Date | 2007-12-21 |
| Last Update Date | 2021-09-21 |