| NPI | 1891773024 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: AZ 32699) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 77726) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AZ 32699) | |
| Enumeration Date | 2006-01-06 |
| Last Update Date | 2018-03-17 |