| NPI | 1326074220 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: TN 31820) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: TN 31820) |
| 207RI0001X Internal Medicine Clinical & Laboratory Immunology (Licence: TN 31820) | |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2015-01-27 |