| NPI | 1174548192 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MI 4301074992) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301074992) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 4301074992) | |
| 207R00000X Internal Medicine (Licence: MI 4301074992) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MI 4301074992) | |
| 209800000X Legal Medicine (Licence: MI 4301074992) | |
| 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine (Licence: MI 4301074992) | |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2013-01-09 |