| NPI | 1861613523 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: WI 57399) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 5101015668) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IA 3981) | |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2021-12-20 |