| NPI | 1801876909 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: SC 87591) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 200000752) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NC 200000752) | |
| Enumeration Date | 2006-01-17 |
| Last Update Date | 2022-10-31 |