| NPI | 1063548097 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL OS10711) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101015831) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: UT 7294934-1204) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL OS 10711) | |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2018-02-13 |