| NPI | 1386757037 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: WV 19929) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: WV 19929) |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2019-04-01 |