| NPI | 1609072495 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NC 2009-00092) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2009-00092) |
| 207R00000X Internal Medicine (Licence: MD D0073731) | |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: NC 2009-00092) | |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2021-08-17 |