| NPI | 1538394630 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: GA 93581) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL TRN13691) |
| 207R00000X Internal Medicine (Licence: FL ME112912) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: KY 45950) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: SC 51981) | |
| Enumeration Date | 2009-05-19 |
| Last Update Date | 2023-02-20 |