| NPI | 1588863898 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX M7358) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX M7358) |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2020-10-01 |