| NPI | 1235191883 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MI AP063730) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI AP063730) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GU M-2053) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: GU M-2053) | |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2017-06-12 |