| NPI | 1881688018 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: KY 52383) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KY 52383) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 208114-1) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NY 208114-1) | |
| Enumeration Date | 2005-09-02 |
| Last Update Date | 2023-06-20 |