| NPI | 1942611140 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: VT 042.0017070) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD61266479) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: WA MD61266479) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NY 292464) | |
| Enumeration Date | 2014-05-12 |
| Last Update Date | 2023-08-31 |