| NPI | 1750345211 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TN 2880) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 34008388) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TN 2880) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 2013-00012) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: KY 03383) | |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2017-04-07 |