| NPI | 1609872456 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: SD 1974) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IA 27785) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: SD 1974) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: IA 27785) | |
| Enumeration Date | 2005-06-27 |
| Last Update Date | 2019-05-14 |