| NPI | 1427252584 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MO 2016019591) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 219052) | 
| 207R00000X Internal Medicine (Licence: FL ME110458) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MO 2016019591) | |
| Enumeration Date | 2007-06-13 | 
| Last Update Date | 2016-09-30 |