| NPI | 1992765440 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: LA MD.203554) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: LA 203554) |
| 207R00000X Internal Medicine (Licence: LA 203554) | |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2017-05-05 |