| NPI | 1356330955 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MS 23252) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AL 19981) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MS 23252) | |
| Enumeration Date | 2005-10-17 |
| Last Update Date | 2021-12-17 |