| NPI | 1881699965 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: SD 5437) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IA MD-35730) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: SD 5437) | |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2024-11-19 |