| NPI | 1396908141 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: UT 9386778-1205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV 13995) |
| 207R00000X Internal Medicine (Licence: CA A119826) | |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2018-06-06 |