| NPI | 1154321990 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MI 4301065166) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD061859L) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 4301065166) | |
| Enumeration Date | 2005-07-22 |
| Last Update Date | 2014-04-02 |