| NPI | 1104871433 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: TN 47713) |
| Additional Taxonomies | 207RI0011X Internal Medicine Interventional Cardiology (Licence: TN 47713) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2012-11-29 |