| NPI | 1194846964 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 60297-020) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MN 50831) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MN 50831) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: WI 60297-20) | |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2020-11-10 |