| NPI | 1629040480 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CA A116515) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MT 27249) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NE 21924) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MT 27249) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NM MD2008-0665) | |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2021-11-16 |