| NPI | 1780826651 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: SC 39114) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: DC MD040216) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: SC 39114) | |
| Enumeration Date | 2009-03-24 |
| Last Update Date | 2021-08-25 |