| NPI | 1720249816 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: CA A129668) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 256817) |
| Enumeration Date | 2008-06-20 |
| Last Update Date | 2016-07-12 |