| NPI | 1992920508 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: ME MD24018) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP00850) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: MI 4301103462) | |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: MI 4301103462) | |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2021-03-02 |