| NPI | 1760445720 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 5101013721) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101013721) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KY TP111) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: KY 03421) | |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2016-08-22 |