| NPI | 1669649075 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: AZ 57841) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57-011656) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NM MD2013-0282) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME122448) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: ND 16961) | |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2023-04-15 |