| NPI | 1033246970 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: LA 206383) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DE C7-0003450) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: LA 200635) | |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2023-04-18 |