| NPI | 1487829156 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: GA 072060) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 134571) |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2014-09-16 |