| NPI | 1760575823 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL ME88975) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MO 36634) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MO 36634) | |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2020-09-15 |