| NPI | 1578993440 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA 86547) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL TRN19007) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA 00000) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MI 43011117461) | |
| Enumeration Date | 2013-11-13 |
| Last Update Date | 2020-08-13 |