| NPI | 1922549195 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NC 2024-01687) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2024-01687) |
| 207R00000X Internal Medicine (Licence: IL 125070881) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 2024-01687) | |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2024-10-01 |