| NPI | 1528178415 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: LA 13606R) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MS 16691) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: LA MD.13606R) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2023-04-13 |