| NPI | 1336306539 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: WA MD60384481) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 52617) |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2020-12-09 |