| NPI | 1700888468 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: SC 00670) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OK 8293) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: SC 00670) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OK 8293) | |
| Enumeration Date | 2005-08-12 |
| Last Update Date | 2023-10-18 |