| NPI | 1245228956 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CT 0044597) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD419702) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CT 0044597) | |
| Enumeration Date | 2005-10-07 |
| Last Update Date | 2016-12-06 |