| NPI | 1174700272 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: AZ 51949) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CA A136299) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TN 53874) | |
| Enumeration Date | 2008-01-30 |
| Last Update Date | 2016-09-24 |