| NPI | 1194929182 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: ND 13179) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 50855) |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2015-04-22 |