| NPI | 1215976543 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: MI 4301097457) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: IL 036090398) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: MI 4301097457) | |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2015-06-10 |