| NPI | 1679513824 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CA 30411) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA G30411) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA G30411) | |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: CA G30411) | |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2017-03-01 |