| NPI | 1740489202 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: WI 65987) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IA 39157) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 65987) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NE 26211) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: IA 39157) | |
| Enumeration Date | 2007-07-15 |
| Last Update Date | 2017-09-27 |