| NPI | 1104857036 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: MS 13195) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: MS 13195) |
| 207RA0002X Internal Medicine Adult Congenital Heart Disease (Licence: MS 13195) | |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2019-01-24 |