| NPI | 1942501002 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: PA OS015930) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA ot013515) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA OS015930) | |
| Enumeration Date | 2010-11-05 |
| Last Update Date | 2019-10-16 |