| NPI | 1891890430 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: IL 036-098886) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TN 39235) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AZ 41527) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TN 39235) | |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2022-08-31 |