| NPI | 1477502136 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MD D90075)  | 
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 2548)  | 
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 2013-02325)  | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: WI 2548)  | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NC 2013-02325)  | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CO DR.0063644)  | |
| Enumeration Date | 2006-05-09 | 
| Last Update Date | 2023-04-18 |