| NPI | 1851540736 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: LA MD.15664R) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL 26685) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA 56050) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MS 27165) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MS 27165) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: GA 56050) | |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: TN 53223) | |
| Enumeration Date | 2008-09-16 |
| Last Update Date | 2023-03-10 |