| NPI | 1851306641 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: LA 323668) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: LA 323668) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: GA 050526) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OH 35-088511) | |
| 207R00000X Internal Medicine (Licence: OH 35-088511) | |
| 207R00000X Internal Medicine (Licence: GA 050526) | |
| 207R00000X Internal Medicine (Licence: LA 323668) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA 050526) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35-088511) | |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2024-01-18 |