| NPI | 1013019512 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: GA 049064) |
| Additional Taxonomies | 174400000X Specialist (Licence: AL 23490) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA 049064) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: GA 049064) | |
| Enumeration Date | 2006-09-04 |
| Last Update Date | 2013-10-15 |