| NPI | 1740701093 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: FL OS20816) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101023548) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: MI 5101023548) | |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: FL OS20816) | |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2024-09-06 |