| NPI | 1427159672 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: MO 2005040722) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: IL 036144600) |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: MO 2005040722) | |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: IL 036144600) | |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2020-12-31 |