| NPI | 1851604318 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MN 55526) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 55526) |
| Enumeration Date | 2010-07-26 |
| Last Update Date | 2019-08-06 |