| NPI | 1427362011 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: AR E-9605) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 164606) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: KS 94-08042) | |
| Enumeration Date | 2010-08-05 |
| Last Update Date | 2016-07-22 |