| NPI | 1760635486 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NC 2016-01999) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 2016-01999) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NH 18227) | |
| Enumeration Date | 2008-10-25 |
| Last Update Date | 2024-01-26 |