| NPI | 1053432872 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: PA MD436937) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2006025386) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2014-11-05 |