| NPI | 1295730224 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MS 15342) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MS 08005) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: AR C-7116) | |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2019-01-04 |