| NPI | 1700219193 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: KY 58162) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 7023) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KY 58162) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NE 32620) | |
| 207R00000X Internal Medicine (Licence: KY 58162) | |
| Enumeration Date | 2013-08-20 |
| Last Update Date | 2023-08-28 |