| NPI | 1609895820 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NH 16308) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NH 16308) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036088393) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: IL 036088393) | |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2020-08-04 |