| NPI | 1902856974 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: MN 28427) |
| Additional Taxonomies | 207RI0011X Internal Medicine Interventional Cardiology (Licence: MN 28427) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2020-04-23 |