| NPI | 1679692206 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MI 4301076588) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301076588) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 4301076588) | |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2021-02-26 |