| NPI | 1659534212 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: VT 042.0013732) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 73442) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NY 289500) | |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2022-07-21 |