| NPI | 1699777995 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: MI 4301067758) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301607758) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: MI 4301067758) | |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2020-03-09 |