| NPI | 1699748806 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: AR E6699) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AR E6699) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KY 40697) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OH 35089719) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: KY 40697) | |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2020-09-09 |