| NPI | 1447475637 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: ND 12283) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 4968) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NE 4968) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: LA MD.203611) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: ND 12283) | |
| Enumeration Date | 2007-04-14 |
| Last Update Date | 2024-12-09 |