| NPI | 1225090715 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: MS 18362) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: LA 023324) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: MS 18362) | |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2020-04-13 |