| NPI | 1003991902 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TN MD0000008609) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MS 16651) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2017-03-16 |