| NPI | 1487692331 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: PA MD057466L) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD057466L) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: PA BT6191364) | |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2024-01-24 |