| NPI | 1154325108 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: PA MD027433-E) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OH 35-045287) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NY 217278-1) | |
| Enumeration Date | 2005-06-08 |
| Last Update Date | 2018-01-04 |