| NPI | 1326350562 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: AZ 53154) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.057630) |
| Enumeration Date | 2010-07-03 |
| Last Update Date | 2018-07-19 |