| NPI | 1770540767 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX J4600) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX J4600) |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2013-11-14 |