| NPI | 1942490578 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: ID 312501) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: ID M-12899) |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2019-03-12 |