| NPI | 1750418547 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TN 49827) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2006-01164) |
| 207R00000X Internal Medicine (Licence: KY 41888) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TN 49827) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101254718) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: VA 0101254718) | |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2014-12-03 |