| NPI | 1588870224 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: AL 30866) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MS 15460) |
| 207P00000X Emergency Medicine (Licence: LA MD200168) | |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2015-04-24 |