| NPI | 1518372754 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 289315) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: RI MD19303) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: RI MD19303) | |
| Enumeration Date | 2014-06-26 |
| Last Update Date | 2024-05-31 |