| NPI | 1780098814 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MA 269990) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA L-259389) |
| 207R00000X Internal Medicine (Licence: MA 269990) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: RI MD18519) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: RI MD18519) | |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2022-08-02 |