| NPI | 1447373576 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OR MD177105) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VT 042.0013268) |
| 207R00000X Internal Medicine (Licence: MI 4301087908) | |
| 207R00000X Internal Medicine (Licence: UT 7675961-1205) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: UT 7675961-1205) | |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2023-06-27 |