| NPI | 1932269503 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: KY 55097) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: FL ME 60368) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: ND 11393) | |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: ND 11393) | |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: FL ME60368) | |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: NC 2015-01053) | |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2022-08-02 |