| NPI | 1548238512 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NE 17717) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: IA 30716) |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2016-04-05 |