| NPI | 1235157876 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: MO 106511) |
| Additional Taxonomies | 207RI0011X Internal Medicine Interventional Cardiology (Licence: IL 036131530) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2021-06-08 |