| NPI | 1700866746 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OR DO18937) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OR DO18937) |
| 207R00000X Internal Medicine (Licence: OR DO18937) | |
| Enumeration Date | 2006-01-17 |
| Last Update Date | 2023-05-19 |