| NPI | 1912983834 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MN 38194) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IA MD-42060) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MN 38194) | |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2020-09-18 |