| NPI | 1497782023 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: WI 75651) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME0072993) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: KY 21989) | |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2023-03-01 |