| NPI | 1477669935 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MN 32208) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MN 32208) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 34358) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: WI 34358) | |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2011-05-05 |