| NPI | 1417983271 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: LA 304196) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TN Pending) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD429922) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: PA MD429922) | |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2017-02-27 |