| NPI | 1962402024 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: VA 0101232789) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101232789) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101232789) | |
| Enumeration Date | 2005-07-29 |
| Last Update Date | 2022-01-24 |