| NPI | 1588681449 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: ND 10088) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 67627) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: WI 67627) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: ND 10088) | |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2023-12-28 |