| NPI | 1962798397 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: AZ 69610) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MA T292227) |
| 207R00000X Internal Medicine (Licence: MN 55416) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MN 55416) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA T292227) | |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2023-10-11 |