| NPI | 1518960962 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: LA 017016) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME0045491) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: LA 017016) | |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2023-05-03 |