| NPI | 1356346399 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OR MD17870) |
| Additional Taxonomies | 174400000X Specialist (Licence: OR MD17870) |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2017-02-01 |