| NPI | 1801848593 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: WY 9526A) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WY 9526A) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 158778) | |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: NY 158778) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NY 158778) | |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2020-10-14 |