| NPI | 1215020045 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: UT 370398-1205) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: UT 370398-1205) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: ID M9904) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: ID M-9904) | |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2016-06-20 |