| NPI | 1619944659 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MI 4301052214) |
| Additional Taxonomies | 174400000X Specialist (Licence: MI 4301052214) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 4301052214) | |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2016-10-06 |