| NPI | 1639339203 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: AZ 50766) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AZ 50766) |
| 207R00000X Internal Medicine (Licence: AZ 50766) | |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2017-04-10 |