| NPI | 1790704401 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VT 042.0006618) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: VT 420006618) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2014-12-04 |