| NPI | 1427391556 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MI 4301116909) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301103057) |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2020-07-23 |