| NPI | 1831302447 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: WI 416) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT188844) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036.129904) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: IL 036.129904) | |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2019-04-16 |