| NPI | 1780793828 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NC 2017-01661) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: LA 300736) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35078346A) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2023-07-21 |