| NPI | 1679536338 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: LA 13115R) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: SD 5690) |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2012-03-28 |