| NPI | 1790747087 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: WI 42495) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MN 40140) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 42495) | |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2023-12-27 |