| NPI | 1972770246 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A111258) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 142108) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CA A111258) | |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2022-08-30 |