| NPI | 1699169904 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 1014973) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: LA 324202) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MA 1014973) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: LA 324202) | |
| Enumeration Date | 2015-03-25 |
| Last Update Date | 2023-09-07 |