| NPI | 1508024035 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: GA 66798) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 262632) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MA 262632) | |
| Enumeration Date | 2008-05-31 |
| Last Update Date | 2023-03-27 |