| NPI | 1649243569 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: PA MD418482) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA MD418482) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD418482) | |
| Enumeration Date | 2006-02-10 |
| Last Update Date | 2018-10-19 |