| NPI | 1194719559 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: NC 32015) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NC 32015) |
| 207R00000X Internal Medicine (Licence: NC 32015) | |
| Enumeration Date | 2005-08-31 |
| Last Update Date | 2022-09-01 |