| NPI | 1134254345 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CA a45066) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A45066) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: HI MD-11986) | |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2020-05-05 |