| NPI | 1376651307 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: SC 27709) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: SC TL27709) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: SC 27709) | |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2022-03-07 |