| NPI | 1508137977 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NC 201701310) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101252435) |
| 207R00000X Internal Medicine (Licence: NY 266398) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 266398) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 2017-01310) | |
| Enumeration Date | 2012-01-18 |
| Last Update Date | 2023-04-26 |