| NPI | 1982633178 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NC 2019-01351) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 2019-01351) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NH 13064) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NH 13064) | |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2020-10-26 |