| NPI | 1639395056 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: NC 2007-00578) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 200700578) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2017-01-10 |