| NPI | 1205838182 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: LA 08396R) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: LA 08396) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: LA 08396R) | |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2019-01-28 |