| NPI | 1821219106 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: MS 19714) |
| Additional Taxonomies | 207RI0011X Internal Medicine Interventional Cardiology (Licence: LA MD.15474R) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2010-01-14 |