| NPI | 1780653840 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: AZ 36655) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CA A66262) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: RI MD9949) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: LA 14749R) | |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2019-05-15 |