| NPI | 1972713691 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CA C184400) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA R7737) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IA 38018) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: SC 51476) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: IA 38018) | |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2025-01-24 |