| NPI | 1053501676 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: AL MD.29540) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: LA MD.026766) |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2015-05-25 |