| NPI | 1053671347 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: VA 0101266113) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT201774) |
| 207R00000X Internal Medicine (Licence: TX Q8146) | |
| 207R00000X Internal Medicine (Licence: VA 0101266113) | |
| Enumeration Date | 2012-05-21 |
| Last Update Date | 2020-10-30 |