| NPI | 1598955973 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL ME163287) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AZ 41982) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: AZ 41982) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: LA MD.025861) | |
| Enumeration Date | 2007-07-31 |
| Last Update Date | 2023-10-17 |