| NPI | 1528289113 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MT 26596) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: LA 15630R) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NV 12596) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NV 12596) | |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2013-08-16 |