| NPI | 1083680532 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: AZ 29264) |
| Additional Taxonomies | 174400000X Specialist (Licence: AZ 29264) |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2014-01-30 |