| NPI | 1972701050 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: LA 204105) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 204105) |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2018-10-05 |