| NPI | 1700889425 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: AZ 40553) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: PA 038252E) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CO 49527) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AZ 40553) | |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2015-12-18 |