| NPI | 1295710481 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: GA 74580) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA 074580) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 9400338) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NC 9400338) | |
| Enumeration Date | 2005-12-09 |
| Last Update Date | 2019-06-24 |