| NPI | 1225023104 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: TN MD21253) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 21253) |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: TN 21253) | |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: VA 0101220430) | |
| Enumeration Date | 2005-09-15 |
| Last Update Date | 2017-02-02 |