| NPI | 1841376597 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 4301085730) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301085730) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MI 4301085730) | |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2019-09-13 |