| NPI | 1174502298 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: TN 4025) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: MI 5101012144) |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: MI 5101012144) | |
| Enumeration Date | 2006-01-17 |
| Last Update Date | 2020-08-05 |