| NPI | 1982638383 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: AL 11998) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: AL 11998) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: MS 08730) | |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2023-03-07 |