| NPI | 1417155672 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MO 2010015943) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036126770) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: IL 036126770) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MO 2010015943) | |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2021-03-19 |