| NPI | 1487755518 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: ND 14145) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35086063) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036133156) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KY TP573) | |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2022-01-08 |