| NPI | 1972760841 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: GA 069617) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA 069617) |
| 207R00000X Internal Medicine (Licence: MA 228246) | |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2017-11-14 |