| NPI | 1497998090 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: PA OS016405) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA OS016405) |
| 207R00000X Internal Medicine (Licence: OH 34.010145) | |
| Enumeration Date | 2009-04-13 |
| Last Update Date | 2017-03-04 |