| NPI | 1891985263 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: AL 29409) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: AL 29409) |
| 207R00000X Internal Medicine (Licence: AL 29409) | |
| 207UN0901X Nuclear Medicine Nuclear Cardiology (Licence: AL 29409) | |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: TN 55902) | |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: TN 55902) | |
| Enumeration Date | 2007-07-31 |
| Last Update Date | 2017-05-05 |