| NPI | 1578915781 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NE 36522) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA R-11404) |
| 207R00000X Internal Medicine (Licence: NE 7734) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MN 74204) | |
| Enumeration Date | 2016-07-12 |
| Last Update Date | 2024-08-30 |