| NPI | 1891955456 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CO 0072089) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME114850) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL 114850) | |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2024-12-05 |