| NPI | 1417178591 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NC 200901351) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2009-01351) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2016-04-25 |