| NPI | 1154502045 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: LA MD.202601) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MS 21970) |
| 207P00000X Emergency Medicine (Licence: MO MD2007018548) | |
| Enumeration Date | 2007-11-19 |
| Last Update Date | 2019-12-03 |