| NPI | 1063844959 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: KY 53688) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 006628) |
| Enumeration Date | 2013-08-02 |
| Last Update Date | 2020-10-08 |