| NPI | 1548266315 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: AZ 23654) |
| Additional Taxonomies | 174400000X Specialist (Licence: AZ 23654) |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: AZ 23654) | |
| Enumeration Date | 2005-06-24 |
| Last Update Date | 2015-11-20 |