| NPI | 1336342427 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: KY 43640) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 43640) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KY 43640) | |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2020-12-04 |