| NPI | 1417249970 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: KY 50377) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101264786) |
| 207R00000X Internal Medicine (Licence: OH 57.019702) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 62500-20) | |
| Enumeration Date | 2011-05-03 |
| Last Update Date | 2022-06-27 |