| NPI | 1164682720 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: ID M-12979) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2008015597) |
| 207R00000X Internal Medicine (Licence: ID M-12979) | |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2016-11-30 |