| NPI | 1023108701 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NE 28467) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CO 39856) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CO 39856) | |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2018-03-29 |