| NPI | 1831308063 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MT 50156) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AR E6478) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WA MD60556414) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OR MD202527) | |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2021-03-24 |