| NPI | 1619000999 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MN 43641) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MN 102900) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MN 43641) | |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2015-03-06 |