| NPI | 1033377007 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: VA 0101256599) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01065468) |
| 207R00000X Internal Medicine (Licence: IN 01065468A) | |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2016-05-11 |