| NPI | 1437173119 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MO 115324) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MO 115324) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036087043) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: IL 036087043) | |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2021-12-06 |