| NPI | 1326118225 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MD MD13092) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MD MD13092) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: DC D0027426) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: DC D0027426) | |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2015-05-11 |