| NPI | 1366681207 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MA 239780) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL MCF1680) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 239780) | |
| Enumeration Date | 2009-02-17 |
| Last Update Date | 2019-04-25 |