| NPI | 1528260072 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: LA 10749R) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: LA 10749R) |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2015-10-19 |