| NPI | 1700049285 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX Q4992) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125055420) |
| Enumeration Date | 2008-07-06 |
| Last Update Date | 2022-01-07 |