| NPI | 1952308454 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AZ 33110) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 33110) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: AZ 33110) | |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2015-03-04 |