| NPI | 1215936398 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: NC 26967) |
| Additional Taxonomies | 174400000X Specialist (Licence: NC 26967) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NC 26967) | |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2021-05-10 |