| NPI | 1205833258 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: WV 27250) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: VA 0101043192) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: WV 27250) | |
| Enumeration Date | 2005-07-06 |
| Last Update Date | 2022-07-21 |