| NPI | 1528351632 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TN 58870) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 248826) |
| Enumeration Date | 2011-05-23 |
| Last Update Date | 2019-05-15 |