| NPI | 1639181654 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NH 8570) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KY 29015) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: KY 29015) | |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2021-01-18 |