| NPI | 1982119277 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MN 66433) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 66433) |
| 207R00000X Internal Medicine (Licence: MN 29173) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MN 66433) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: WI 84201) | |
| Enumeration Date | 2017-12-08 |
| Last Update Date | 2024-11-08 |