| NPI | 1487862702 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: LA 203149) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: LA 203149) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 4301085514) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: AL 25655) | |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2021-06-22 |