| NPI | 1740410455 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA C194843) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036130028) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 284806) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 4301106480) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MI 4301106480) | |
| Enumeration Date | 2009-07-16 |
| Last Update Date | 2025-02-18 |