| NPI | 1982668828 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: AL 25739) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2006-00624) |
| 207R00000X Internal Medicine (Licence: AL 00025739) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AL 25739) | |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2022-04-04 |