| NPI | 1497774434 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CA 786894) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MT 18196) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 252877) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A114506) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: LA 301871) | |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2021-06-25 |