| NPI | 1083745335 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TN 54651) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA 049439) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: SC 18820) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: SC 18820) | |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2018-02-12 |