| NPI | 1851622112 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: AZ 43424) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 43424) |
| 207R00000X Internal Medicine (Licence: AZ R71082) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AZ 43424) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MN 62312) | |
| Enumeration Date | 2010-01-26 |
| Last Update Date | 2018-06-29 |