| NPI | 1508831546 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NC 2021-00137) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 2021-00137) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD063740L) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: PA MD063740L) | |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2024-05-07 |