| NPI | 1598889388 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: LA MD.207835) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 216731) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MD D0067136) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MD D0067136) | |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2016-06-21 |