| NPI | 1730305764 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: PA MD445256) |
| Additional Taxonomies | 207RI0011X Internal Medicine Interventional Cardiology (Licence: RI MD12672) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: RI MD12672) | |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2015-01-30 |