| NPI | 1508207689 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AZ 59719) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP02886) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: AZ 59719) | |
| Enumeration Date | 2013-07-17 |
| Last Update Date | 2020-08-10 |