| NPI | 1730235359 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: CO 53358) |
| Additional Taxonomies | 207RI0011X Internal Medicine Interventional Cardiology (Licence: MO 2009007061) |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: AZ 50029) | |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: WY 10271A) | |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2023-04-03 |