| NPI | 1992071880 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: LA 333421) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: OH 35.125702) |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: OH 35.125702) | |
| Enumeration Date | 2012-03-26 |
| Last Update Date | 2022-10-26 |