| NPI | 1952512014 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: IA MD-38699) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036-115355) |
| 207R00000X Internal Medicine (Licence: MN 46332) | |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2018-12-21 |