| NPI | 1437364973 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: AZ 66535) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IA 37187) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: KY 45596) | |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2023-06-23 |