| NPI | 1588762504 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: AZ 46688) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2004018553) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: IA 37453) | |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: MO 2008014944) | |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2022-11-18 |