| NPI | 1780725580 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NE 25492) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WY TL2373) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: KS 04-34666) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CO 53174) | |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2017-12-12 |