| NPI | 1962508796 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: MA 58056) |
| Additional Taxonomies | 207RI0011X Internal Medicine Interventional Cardiology (Licence: NH 9622) |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2016-09-09 |