| NPI | 1669562039 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: AL 6973) |
| Additional Taxonomies | 174400000X Specialist (Licence: AL 00006973) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2016-02-24 |