| NPI | 1962644310 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MD D92520) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KY C1378) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MO 2015008626) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: VA 0101278702) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: KS 0447213) | |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2023-10-03 |