| NPI | 1154302057 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MA 224353) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 224353) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 224353) | |
| Enumeration Date | 2005-11-08 |
| Last Update Date | 2016-01-11 |