| NPI | 1013128222 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MN 56304) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125-049248) |
| Enumeration Date | 2007-05-28 |
| Last Update Date | 2013-08-29 |