| NPI | 1174590640 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: MI 4301047579) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: MI 4301047579) |
| Enumeration Date | 2006-03-03 |
| Last Update Date | 2016-10-06 |