| NPI | 1083659700 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AZ 30369) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 36343) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: WI 36343) | |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2021-06-01 |