| NPI | 1538336904 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT Ay2629155) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: IL 036.123420) |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2013-03-11 |