| NPI | 1780680777 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CO 39314) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: UT 12929006-1235) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CO 39314) | |
| Enumeration Date | 2005-06-23 |
| Last Update Date | 2024-07-02 |