| NPI | 1700132727 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: VA 0101275862) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101275862) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WA MD60939845) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101275862) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: IA MD-43721) | |
| Enumeration Date | 2012-07-27 |
| Last Update Date | 2023-03-02 |