| NPI | 1811974207 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101266014) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CT 22729) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OR MD213362) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: WY TL912) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MT 11209) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: WY 7814A) | |
| Enumeration Date | 2005-12-27 |
| Last Update Date | 2024-11-20 |