| NPI | 1871608125 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: KY 43683) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101245059) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TN 42917) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KY 43683) | |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2023-04-18 |