| NPI | 1205887858 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: KY 44237) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC MD034767) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: DC MD034767) | |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: DC MD034767) | |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: KY TP569) | |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2015-09-01 |