| NPI | 1528050648 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MD D0055427) |
| Additional Taxonomies | 174400000X Specialist (Licence: MD D0055427) |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2012-04-09 |