| NPI | 1376653634 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: KY 31393) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: KY 31393) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: GA 034761) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-12-10 |