| NPI | 1790719417 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NC 9600647) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME86388) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MO 2011007291) | |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2021-09-02 |