| NPI | 1518224476 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MO 2021024983) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: RI MD16638) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: RI MD16638) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MO 2021024983) | |
| Enumeration Date | 2012-04-17 |
| Last Update Date | 2022-08-16 |