| NPI | 1720068471 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: SD 9353) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35-08-5517) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: GA 057762) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL ME106924) | |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2022-07-21 |