| NPI | 1508986498 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KY 48895) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 48895) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WV 27587) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: KY 48895) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: KY 48895) | |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2021-12-13 |