| NPI | 1508995150 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MO 2007001655) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MS 17458) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MO 2007001655) | |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2015-09-23 |