| NPI | 1881615318 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: WA MD61264609) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: ND 10747) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MN 29077) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MO R7023) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: WI 25839) | |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2024-07-24 |