| NPI | 1558447516 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL ME103315) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301064397) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 4301064397) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MI 4301064397) | |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2013-02-28 |