| NPI | 1922325687 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: PA MD483488) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WA 60646846) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: WA 60646846) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: KY TP874) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: PA 483488) | |
| Enumeration Date | 2010-04-21 |
| Last Update Date | 2024-02-27 |