| NPI | 1649248311 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL ME63131) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA 057236) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: GA 057236) | |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2024-02-09 |