| NPI | 1235123886 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: PA MD069721L) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA MD069721L) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: PA MD069721L) | |
| Enumeration Date | 2005-09-09 |
| Last Update Date | 2015-12-15 |