| NPI | 1912101494 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: TN 45269) |
| Additional Taxonomies | 207RI0011X Internal Medicine Interventional Cardiology (Licence: TN 45269) |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2018-03-17 |