| NPI | 1467446120 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: MA 150483) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: MA 150483) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NH 12423) | |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: NH 12423) | |
| Enumeration Date | 2005-09-08 |
| Last Update Date | 2020-01-29 |