| NPI | 1316258528 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: WV 27080) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL32915) |
| Enumeration Date | 2010-06-23 |
| Last Update Date | 2016-07-14 |