| NPI | 1760464077 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IA MD-37534) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA G053461) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CA G053461) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: IA MD-37534) | |
| Enumeration Date | 2005-11-14 |
| Last Update Date | 2018-03-17 |