| NPI | 1477549988 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MA 220702) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: RI 11695) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 220702) | |
| Enumeration Date | 2005-09-21 |
| Last Update Date | 2019-03-19 |