| NPI | 1013917673 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NC 200201039) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 2002-01039) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: SC 26703) | |
| Enumeration Date | 2005-07-26 |
| Last Update Date | 2014-08-14 |