| NPI | 1992728000 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MO 2003007575)  | 
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036100225)  | 
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MO 2003007575)  | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: IL 036100225)  | |
| Enumeration Date | 2006-07-26 | 
| Last Update Date | 2024-12-27 |