| NPI | 1629057344 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: SC 33078) |
| Additional Taxonomies | 174400000X Specialist (Licence: MO MDR6958) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: SC TL33078) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: SC 33078) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: SC TL33078) | |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2019-06-27 |