| NPI | 1487811212 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: CA A110624) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: CA A110624) |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2020-02-28 |