| NPI | 1790122935 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: IA MD-53659) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA MD-53659) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IA MD-53659) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MA11516500) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NJ 25MA11516500) | |
| Enumeration Date | 2013-05-29 |
| Last Update Date | 2024-10-04 |