| NPI | 1649206582 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NC 2016-01203) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 231106) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TN 36374) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 231106) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101055712) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MA 231106) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TN 36374) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: VA 0101055712) | |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2019-10-07 |