| NPI | 1336109198 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: NM MD2014-0940) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: WI 25473) |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2019-06-02 |