| NPI | 1891779062 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MO 2012026130) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036130872) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MO 2012026130) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: IL 036130872) | |
| Enumeration Date | 2005-12-01 |
| Last Update Date | 2021-12-06 |