| NPI | 1366670754 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NH 18185) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 241621) |
| Enumeration Date | 2009-06-24 |
| Last Update Date | 2019-04-11 |