| NPI | 1659363141 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MT 48734) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NV 10524) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A84369) | |
| Enumeration Date | 2005-08-19 |
| Last Update Date | 2016-11-28 |