| NPI | 1447204961 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TN 48723) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TN 48723) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: LA MD.200424) | |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2018-07-10 |