| NPI | 1760596985 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CA A105826) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 4301083330) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A105826) | |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2024-07-19 |