| NPI | 1548306640 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NC 2015-01978) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101239745) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 2015-01978) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101239745) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: VA 0101239745) | |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2022-01-04 |