| NPI | 1841587938 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CO DR.0059973) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125059264) |
| Enumeration Date | 2011-07-08 |
| Last Update Date | 2018-08-08 |