| NPI | 1508028937 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: VA 0101261350) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: LA 206144) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: LA 206144) | |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2020-08-14 |