| NPI | 1710157714 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX s5118) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME 101504) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL ME 101504) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL ME101504) | |
| Enumeration Date | 2008-03-05 |
| Last Update Date | 2020-04-02 |