| NPI | 1629031190 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: MN 48525) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: MN 102285) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: MN 48525) | |
| Enumeration Date | 2006-04-07 |
| Last Update Date | 2012-09-05 |