| NPI | 1437123635 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NE 30452) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OH 35089106) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TN MD49488) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35089106) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TN MD49488) | |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2021-04-08 |