| NPI | 1124054812 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: PA MD046647L) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD046647L) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD046647L) | |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2019-09-16 |