| NPI | 1811299159 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AZ 67558) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301115162) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: AZ 67558) | |
| Enumeration Date | 2010-11-18 |
| Last Update Date | 2023-03-16 |