| NPI | 1851471122 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: AL MD.47314) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX J5171) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MI 4301505555) | |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2023-10-23 |