| NPI | 1760497416 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: IL 036-131952) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35.088200) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: WI 3651-320) | |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2023-11-22 |