| NPI | 1699983635 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WV 21746) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AR E-6833) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: AR E-6833) | |
| 207R00000X Internal Medicine (Licence: AR E-6833) | |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2023-06-19 |