| NPI | 1679586895 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 28346) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 28346) |
| 207R00000X Internal Medicine (Licence: SC 14424) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: SC 14424) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NC 28346) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: SC 14424) | |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2007-12-27 |