| NPI | 1134313216 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: VA 0101251983) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX M1855) |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: TX M1855) | |
| Enumeration Date | 2007-08-31 |
| Last Update Date | 2020-10-30 |