| NPI | 1245460526 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL ME127832) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 249731) |
| Enumeration Date | 2009-07-21 |
| Last Update Date | 2017-12-06 |