| NPI | 1922076835 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: MI 4301047006) |
| Additional Taxonomies | 207RI0011X Internal Medicine Interventional Cardiology (Licence: MI 4301047006) |
| 207R00000X Internal Medicine (Licence: MI 4301047006) | |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2019-05-28 |