| NPI | 1457535551 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: VA 0101255667) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101255667) |
| Enumeration Date | 2007-12-26 |
| Last Update Date | 2017-03-08 |