| NPI | 1528231628 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX Q5011) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 82114) |
| Enumeration Date | 2008-04-09 |
| Last Update Date | 2016-10-05 |