| NPI | 1528031663 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: PA MD426137) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: LA 310562) |
| 174400000X Specialist (Licence: PA MD426137) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A122707) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD426137) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NM MD2016-0785) | |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2023-10-18 |