| NPI | 1376624718 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A30815) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CA A30815) |
| 207R00000X Internal Medicine (Licence: CA A30815) | |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2017-01-20 |