| NPI | 1639188972 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: OR MD209372) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: CA G62984) |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: CA G62984) | |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2022-11-04 |