| NPI | 1720161151 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: SC MD18189) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101268572) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101268572) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: SC 18189) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: VA 0101268572) | |
| Enumeration Date | 2006-10-21 |
| Last Update Date | 2023-10-09 |