| NPI | 1851345466 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: MO R8P45) |
| Additional Taxonomies | 207RI0011X Internal Medicine Interventional Cardiology (Licence: KS 0423881) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2014-01-24 |