| NPI | 1215982673 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: PA MD455787) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: VA 0101237511) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: PA MD455787) | |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2015-08-11 |