| NPI | 1861466567 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL ME74723) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME74723) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: KS 0438752) | |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2016-02-22 |