| NPI | 1992764641 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 4301046536) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL ME122721) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: GA 077776) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MI 4301046536) | |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2023-06-14 |