| NPI | 1053353029 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CA G161416) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 9400849) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NC 9400849) | |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2019-10-29 |