| NPI | 1396701066 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MO R7212) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KS 0430192) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MO R7212) | |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2020-09-22 |