| NPI | 1104945955 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: SC 33016) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MO 2005014016) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: SC 33016) | |
| 207R00000X Internal Medicine (Licence: SC 33016) | |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2010-09-30 |