| NPI | 1184616088 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MD D0040715) |
| Additional Taxonomies | 174400000X Specialist (Licence: MD D0040715) |
| Enumeration Date | 2005-08-17 |
| Last Update Date | 2019-09-20 |