| NPI | 1093710790 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: FL ME74929) |
| Additional Taxonomies | 207RI0011X Internal Medicine Interventional Cardiology (Licence: FL ME 74929) |
| Enumeration Date | 2005-06-17 |
| Last Update Date | 2008-04-17 |