| NPI | 1083608087 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL ME119999) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 26351) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME119999) | |
| Enumeration Date | 2005-09-06 |
| Last Update Date | 2017-07-10 |