| NPI | 1558405902 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: AL 28860) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AL 28860) |
| 207R00000X Internal Medicine (Licence: MS 17487) | |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2015-04-24 |