| NPI | 1386807337 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX Q5226) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2008010212) |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2015-09-04 |