| NPI | 1164681607 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TN 46709) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA P-224886) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TN 46709) | |
| 207R00000X Internal Medicine (Licence: TN 46709) | |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2014-12-03 |