| NPI | 1275624231 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: AZ 43149) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO T2006009442) |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: AZ 43149) | |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2021-11-10 |