| NPI | 1174632475 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TN 28931) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: VA 0101059203) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TN 28931) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101059203) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2014-12-03 |