| NPI | 1720308851 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: SC 37108) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: SC 37108) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: SC MD37108) | |
| 207R00000X Internal Medicine (Licence: SC 37108) | |
| Enumeration Date | 2010-06-11 |
| Last Update Date | 2023-05-17 |