| NPI | 1306127808 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: AZ 55739) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA R-9315) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 57.024215) | |
| Enumeration Date | 2011-08-29 |
| Last Update Date | 2020-06-24 |