| NPI | 1073736682 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MS 22657) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5101016953) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2016-03-31 |