| NPI | 1689601627 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CT 47324) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CT 47324) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 267395) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NH 12124) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CO DR.0071359) | |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2023-12-07 |