| NPI | 1801873930 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: PA MD048259L) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA MD048259L) |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: PA MD048259L) | |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2018-04-25 |