| NPI | 1821377961 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OR MD185523) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301098151) |
| Enumeration Date | 2011-08-08 |
| Last Update Date | 2018-07-03 |