| NPI | 1629068556 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TN 33970) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 71234) |
| 207R00000X Internal Medicine (Licence: TN 33970) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 71234) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MA 71234) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TN 33970) | |
| Enumeration Date | 2005-10-22 |
| Last Update Date | 2022-03-30 |