| NPI | 1265406060 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: IA 32426) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IA 32426) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NE 20824) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: SD 4455) | |
| Enumeration Date | 2006-02-16 |
| Last Update Date | 2015-10-15 |