| NPI | 1477542306 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: MD D24061) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: MD D24061) |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: PA MD420656) | |
| Enumeration Date | 2005-10-13 |
| Last Update Date | 2023-05-12 |