| NPI | 1336313857 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: AZ 50410) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 57.012761) |
| 207R00000X Internal Medicine (Licence: OH 57.012761) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MO 2013011939) | |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2015-07-14 |