| NPI | 1598928079 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: AL 37071) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 33880) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MS 21255) | |
| Enumeration Date | 2008-07-06 |
| Last Update Date | 2018-06-20 |