| NPI | 1629128830 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MD D65567) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MD RES000) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MD D65567) | |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2022-09-21 |