| NPI | 1891798658 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: CA G25365) |
| Additional Taxonomies | 207RI0011X Internal Medicine Interventional Cardiology (Licence: CA G25365) |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2018-05-08 |