| NPI | 1699054775 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: GA 080997) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 080997) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA 080997) | |
| Enumeration Date | 2011-08-08 |
| Last Update Date | 2018-08-07 |