| NPI | 1881687861 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MI 4301075612) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN MD34090) |
| Enumeration Date | 2005-08-25 |
| Last Update Date | 2015-02-26 |