| NPI | 1629064365 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: GA 80550) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: GA 80550) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: GA 080550) | |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: VA 0101058712) | |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2021-05-06 |