| NPI | 1659379790 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 25576) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NC 25576) |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2013-07-01 |