| NPI | 1790851319 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MT 4841) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: GA 019978) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: IN 01027556A) | |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2007-07-08 |