| NPI | 1891930855 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MI 4301091964) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301091964) |
| Enumeration Date | 2008-12-04 |
| Last Update Date | 2016-07-12 |