| NPI | 1790047736 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: GA 99684) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 99684) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: GA 99684) | |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: IL 036.150090) | |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: IL 036.150090) | |
| Enumeration Date | 2012-06-14 |
| Last Update Date | 2024-10-03 |