| NPI | 1073716445 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: WI 56139-20) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036114652) |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2016-09-15 |