| NPI | 1649236829 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: WI 51186) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 4301093535) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 51186-20) | |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2020-03-30 |