| NPI | 1588672000 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: HI MD12395) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: HI MD12395) |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: HI MD12395) | |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2018-07-11 |