| NPI | 1255394649 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: VA 0101036740) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: VA 0101036740) |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: WV 25112) | |
| Enumeration Date | 2006-04-08 |
| Last Update Date | 2021-09-14 |