| NPI | 1508828591 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL ME71233) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NC 2017-00082) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 2017-00082) | |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2024-02-05 |