| NPI | 1831156769 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: MO R7489) |
| Additional Taxonomies | 207RI0011X Internal Medicine Interventional Cardiology (Licence: KS 0414451) |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2013-05-02 |