| NPI | 1417922147 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MD D79971) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 216051) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 216051) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: GA 059638) | |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2016-02-18 |